NPIMap

Organization Active NPI

Pulaski Memorial Hospital

Doing business as Majestic Care of South Bend

  • Skilled Nursing Facility
  • South Bend, IN
National Provider Identifier
1780025460
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PULASKI MEMORIAL HOSPITAL
Doing business as
Majestic Care of South Bend
Signature HealthCARE of South Bend
Practice address
52654 N Ironwood Rd.
South Bend, IN 46635-1123
Phone
(574) 277-8710
Fax
(574) 271-4395
NPI assigned
Jul 10, 2013
Last updated
Jun 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gregg A Malott
Title
Chief Financial Officer
Phone
(574) 946-2103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

52654 N Ironwood Rd.
South Bend, IN 46635-1123

Mailing address

52654 N Ironwood Rd.
South Bend, IN 46635-1123
Phone (574) 277-8710

Other identifiers 2

IdentifierTypeStateIssuer
100266730MedicaidIN
100266730CMedicaidIN

Other names 2

  • Majestic Care of South Bend Doing business as
  • Signature HealthCARE of South Bend Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130807000496 IN Part A Provider - Skilled Nursing Facility 8224004585 Practice locations: South Bend, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780025460. Details of each certification follow.

Skilled nursing facility certification: CCN 155219

Legal name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Doing business as
MAJESTIC CARE OF SOUTH BEND
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 4, 1983
Last certification
Oct 4, 2024
Beds
103
Ownership / control type
Individual
Multi-facility organization
Jackson County Schneck Mem. Hosp
Organization structure
OtherNon-profit
Enrollment address
52654 Ironwood Rd
South Bend, IN 46635-1123

Care Compare: Nursing home

Medicare Care Compare
Listed as
Majestic Care of South BendCCN 155219 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Aug 4, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10368.4 residents per day on average
Penalties (3 years)
4Fines totaling $116,322

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0876705Majestic Care of South Bend52654 N Ironwood Rd, South Bend, IN 46635Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Jackson County Memorial33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Ownership & related parties

All disclosed owners & managing parties 30

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Alexander Individual Operational/Managerial Control May 1, 2023
Jack L McCory Individual Managing Control - Governing BodyBoard Member Jul 1, 2012
Trustee of the SNF Jul 1, 2012
Rick L Smith Individual Managing Control - Governing BodyBoard Member Jul 1, 2012
Trustee of the SNF Jul 1, 2012
Andrew B Markel Individual Managing Control - Governing BodyBoard Member Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Courtney B Kleber Individual Managing Control - Governing BodyBoard Member Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Majestic Management LLC Organization, Flushing, NY LLC, Management services company, Consulting firm Operational/Managerial Control Aug 1, 2021
Adp of the SNF Aug 1, 2021
Stephen Sokolow Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Angela Rewa Individual Operational/Managerial Control Oct 23, 2023
Adp of the SNF Oct 23, 2023
LTC Consulting Services LLC Organization, Lakewood, NJ LLC Adp of the SNF Jan 1, 2023
Deborah a Mann Individual Operational/Managerial Control Feb 10, 2014
Managing Control - Governing BodyVP Finance/Cfo Feb 10, 2001
Robert Laron Russell Individual Operational/Managerial Control Apr 8, 2024
Adp of the SNF Apr 8, 2024
Matthew K Reedy Individual Managing Control - Governing BodyBoard Member Jul 1, 2012
Trustee of the SNF Jul 1, 2012
MDG Majestic Indiana Realty III LLC Organization, Flushing, NY LLC, Holding company Adp of the SNF Aug 1, 2021
South Bend HC Realty LLC Organization, Flushing, NY LLC Adp of the SNF Aug 1, 2021
Terrence L Gilliland Individual Managing Control - Governing BodyBoard Member Jul 1, 2012
Trustee of the SNF Jul 1, 2012
Pragneshkumar N Radadiya Individual Operational/Managerial Control Nov 28, 2022
Adp of the SNF Nov 28, 2022
Paul Pruitt Individual Operational/Managerial Control May 1, 2023
Adp of the SNF May 1, 2022
MDG Real Estate Global Limited Organization, Flushing, NY LLC, Holding company Adp of the SNF Aug 1, 2021
Majestic Care of South Bend LLC Organization, Westfield, IN LLC, Management services company Operational/Managerial Control Aug 1, 2021
Adp of the SNF Aug 1, 2021
Susan D Bevers Individual Managing Control - Governing BodyBoard Member Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Eric D Fish Individual Operational/Managerial Control Sep 1, 2020
Managing Control - Governing BodyPresident and Ceo Sep 1, 2020
Margaret Chamberlain Individual Adp of the SNF Sep 11, 2023
Anzhelika Shatrov Individual Operational/Managerial Control Dec 2, 2024
Adp of the SNF Dec 4, 2024
David Marx Individual Adp of the SNF Aug 1, 2021
Brandon J Harpe Individual Managing Control - Governing BodyBoard Member Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Jackson County Schneck Memorial Hospital Organization, Seymour, IN Created for acquisition, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2013 100%
5% Or Greater Indirect Ownership Interest Aug 1, 2013 100%
Marc Storey Individual Managing Control - Governing BodyBoard Member Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Robert D Gillaspy Individual Trustee of the SNF Jan 1, 2025
Eric Wolfe Individual Operational/Managerial Control Sep 11, 2023
4 MDR of Queens Inc Organization, Flushing, NY Holding company, Consulting firm Adp of the SNF Aug 1, 2021

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 17

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Schneck Medical CenterSeymour, IN, CCN 150065 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Schneck Medical CenterSeymour, IN, CCN 15U065 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 24, 1966
Lutheran Community HomeSeymour, IN, CCN 155715 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 2012
Jul 1, 2012
Hoosier Health & Living CommunityBrownstown, IN, CCN 155611 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2012
Signature Healthcare of MuncieMuncie, IN, CCN 155242 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 May 1, 2013
May 1, 2013
Oct 3, 2025
Signature Healthcare at ParkwoodLebanon, IN, CCN 155378 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2013
Signature Healthcare of Terre HauteTerre Haute, IN, CCN 155426 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2013
Crown Point Health CampusCrown Point, IN, CCN 155637 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
Majestic Care of NewburghNewburgh, IN, CCN 155670 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Majestic Care of LafayetteLafayette, IN, CCN 155243 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Chateau Rehabilitation and Healthcare CenterFort Wayne, IN, CCN 155249 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Bertha D Garten Ketcham Memorial CenterOdon, IN, CCN 155539 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 2, 2013
May 19, 2025
Signature Healthcare of BremenBremen, IN, CCN 155474 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 May 1, 2014
May 1, 2014
Sep 26, 2025
Covered Bridge Health CampusSeymour, IN, CCN 155712 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Stonebridge Health CampusBedford, IN, CCN 155727 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Schneck Medical Center Home Health CareSeymour, IN, CCN 157155 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 24, 1940
Schneck Medical Center HospiceSeymour, IN, CCN 151529 Hospice 5% Or Greater Direct Ownership Interest (100%) Jun 24, 1940

Facilities with the same owner 36

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 36

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1780025460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52654 N IRONWOOD RD.",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351123",
            "telephone_number": "574-277-8710",
            "fax_number": "574-271-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52654 N IRONWOOD RD.",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351123",
            "telephone_number": "574-277-8710",
            "fax_number": "574-271-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULASKI MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "MALOTT",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "574-946-2103"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100266730",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100266730C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Majestic Care of South Bend",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature HealthCARE of South Bend",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.